Organization
GIG HARBOR MIDWIFERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CORAGGIO LM, CPM (OWNER)
(253) 632-6556
Entity
Organization
Contact information
Practice address
11505 BURNHAM DR STE 104, GIG HARBOR, WA 98332-9173
(253) 632-6556
(253) 442-6120
Mailing address
1625 115TH STREET CT NW, GIG HARBOR, WA 98332-9330
(253) 632-6556
(253) 442-6120
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598374803
—
WA
05
—
1972810950
—
WA
Enumeration date
03/14/2021
Last updated
03/14/2021
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